10212 (SFD)w'
v'
4
P.O. BOX 1504
Building 78-835 Sanita Drive 78-105 CALLE ESTADO
Address LA QUINTA, CALIFORNIA 92253
t)wner
CTB Associates, L.P.
Mailing
Address 1535 S. ODD St #200
City Zip Tel.
San Barnard.in 92408 71.4/381-6007
Contractor
Century Homes Co=tunities
Address
same as above
Citv lZiD I Tel.:
State Lic. City
& Classif. 334473 B1 Lic. # .2220
Arch., Engr.,
Designer Frank Gonzales & Assoc.
Address Tel.
1336 L. Chapman Ave 714/532-6878
2ip 96606 Lict# C 016340
LICENSED CONTRACTOR'S DECLARATION
that I am licensed under provisions of Chapter 9 (commencing with Section
3 of t e Business and Professions Code, and my license is ir2 full force and
City
orange
OWNER -BUILDER DECLARATION
I hereby affirm that 1 am exempt from the Contractor's License Law for the following
reason: (Sec. 7031.5,Busuress and Professions Code: Any city or county which requires a
permit to construct, after, Improve, demolish, or repair any structure, prior to Its issuance also
requires the applicant for such permit to rile a signed statement that he is licensed pursuant to
the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) of
Division 3 of the Business and Professions Code, or that. he is exempt therefrom, and the basis
for the alleged exemption. Any violation of Section 7031.5 by 'any applicant for a permit
subjects the applicant to a crv8 penalty of not more than five hundred dollars ($500).
❑ I, as owner of the property, or my employees with wages as their sole compensation, will
do the work, and the structure is not intended or offered for sale. (Sec. 7044, Buisness and
Professions Code: The Contractor's License Law does not apply to an owner of property who
builds or improves thereon and who does such work himself or through his own employees,
provided that such improvements are not intended or offered for sale. If, however, the building
or improvement is sold wither one year or completion, the owner -builder will have the burden
of proving that he did not build or enprove for the purpose of sale.)
❑ I, as owner of the property, am exclusively contracting with licensed contractors to con-
struct the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law
does not apply to an owner of property who builds or improves thereon, and who contracts for
such projects with a contractors) licensed pursuant to the Contractor's License Law.)
O 1 am exempt under Sec B. ti. P.C. for this reason
Date Owner
WORKERS' COMPENSATION DECLARATION
I hereby affirm that 1 have a certificate of consent to self -insure, or a certificate of
Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800. Labor Code.)
Policy No. Company
X,o Copy is filed with the city. ❑ Certified copy is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed it the permit is for one hundred dollars ($100) valuation
or less.)
I certify that in the performance of the work for which this permit is issued, I shall not
employ any person in any manner so as to become subject to the Workers' Compensation
Laws of California.
Date Owner
NOTICE TO APPLICANT: If, after making this Certificate of Exemption you should become
subject to the 'Workers' Compensation provisions of the Labor Code, you must forthwith
comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY
1 hereby affirm that there is a construction lending agency for the performance of the
work for which this permit is issued. (Sec. 3097, Civil Code.)
Lender's Name
Lender's Address
This is a building permit when properly filled out, signed and validated, and is subject to
expiration if work thereunder is suspended for 180 days.
I certify that I have read this application and state that the above information is correct.
I agree to comply with all city and county ordinances and state laws relating to building
construction, and hereby authorize representatives -of this city to enter the above-.
mentioned property for inspection purposes.
Signature of applicant Date
Mailing Address
City, State, Zip
LDING: TYPE CONST
P. Number
Description
Lot 84
No. 10212
OCC: GRP.
Project Description Phase 2 Plan 3AX
Sq. Ft. 1606
Size
No. No. Dw.
Stories Units
New ❑ Add ❑
Alter ❑ Repair ❑ Demolition ❑
?ermit does
not include block gall or pool
Estimated Valuation
00 050
PERMIT
AMOUNT
Plan Chk. Dep.
250. 00
Plan Chk. Bal.
2b • 13
Const.
—5-9 9.0 U
Mech.
62.UU
Electrical
127.75
Plumbirig,
' i� 144..00
S.M.I.
9.10
Grading
/ �' 20.00
Driveway Enc. jy �/' 2U.00
Infrastructure 2026.
X X
TOTAL
REMARKS
000. 1 bl:c slfb?E03
ZONE: BY:
Minimum Setback Distances:
Front Setback from Center Line
Rear Setback from Rear Prop. Line
Side Street Setback from Center Line
Side Setback from Property Line
FINAL DATE INSPECTOR
Issued by: Date Permit
Validated by:
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SO. FT. ® $
2ND FL SO. FT.
POR. SO. Ff. ®
GAR. SO. FT. ®
CAR P. I SO. Fr. ®
WALL SO. Ff.
SO FT. ®
ESTIMATED CONSTRUCTION VALUATION $
UNITS
MOBILEHOME SVC.
POWER OUTLET
�y
YARD SPKLR SYSTEM
BAR SINK
ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN.
URINAL
WATER PIPING
NOTE: Not to be used as property tax valuation
BONDING
FLOOR DRAIN
MECHANICAL FEES
FORMS
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
GAS (ROUGH)
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
OTHER APPJEOUIP.
LAUNDRY TRAY
AIR HANDLING UNIT CFM
TEMP. POLE
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET`
COMPRESSOR HP
POLE, TEM/PERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER. B.T.U.
SO. FT. ® c
BATH TUB
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 1% c
SEWAGE DISPOSAL
SO.F(.GAR ® 3yc
HOUSE SEWER
REMARKS:
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEETA
PLCK.FEE
CONST. FEE ELECT. FEE
SMI FEE PLUMB. FEE
STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR'
SETBACK
GROUND PLUMBING
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER OR SEPTIC TANK
ROUGH WIRING.
DUCT WORK
ROCK STORAGE
FOUND. REINF.
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APPJEOUIP.
REINF. STEEL
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
cu. yd.
$ plus x$
=$
LUMBER GR.
FINAL INSP.
FRAMING
FINAL INSP.
ROOFING
REMARKS:
VENTILATION
FIRE ZONE ROOFING:
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATION/SOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
Plan 3AX, Phase 2; Lot 84
Q 4
CITY -OF LAIOUINTA
DEPARTMENT OF PLANNING,&.DEVELOPMENT
BUILDING DIVI
• . .• 56
24-HOUR NOT4= NSP�gTIONS
xa ��
ay CTB-ASSOC
ia es
Contractor' Cent rr Ho es Communities
p�mRNumb�r ._.
X10212''=
POST ON°JOB' IN CONSPfCUOUS PLACE
INSPECTOR MUSTSIGN•ALL APPLICABLE SPACES
X78-835 Sanita Drive
j013.ADDRESS
•,. Permit does not'include block
-.wall .or .pool
ABOVE APPROVALS DO NOT INCLUDE RIGHT TO
�. , TURN ON -UTILITIES OR OCCUPY BUILDING
- . �?. �t-r -ti'. _ iy$y �•'•' .- .-fir
i
1
1
P-1
OF
:!P
Ilutabto anb �$af t . P*11* un
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This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building
Code certifying that at the time, of issuance this structure was incompliance with the various .
ordinances of the,City regulating building construction or use. For the following:
BUILDING ADDRESS 78-835 SANITA DRIVE
:I
;
Use Classification SINGLE FAMILY DWELLING Bldg. Permit No. 10212
4•
Group R3 Type Construction VN Fre Zone Use Zone SR
Owner of Buildinq CTB ASSOCIATES, L.P. Address 1535' S. ".D" ST. #200
ii
SAN BERNARDINO, CA 92408
City MARK HAROLD.-
�''✓ JUNE 24, 1992
Date:
Building Official
POST IN A CONSPICUOUS PLACE
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